Retrospective Study
Copyright ©The Author(s) 2018.
World J Gastroenterol. Mar 7, 2018; 24(9): 1013-1021
Published online Mar 7, 2018. doi: 10.3748/wjg.v24.i9.1013
Table 1 Indications, diagnoses and quality indicators in 121 children who had 177 colonoscopies
n%
Sex, males7461
Age in yr, median ± SD7.5 ± 4.5
Concomitant esophagogastroduodenoscopy8167
Indications, n = 1211
Suspected of inflammatory bowel disease, new patients3630
Per rectal bleeding/investigations of anemia2521
Investigation of gastrointestinal symptoms2117
Assessment of inflammatory bowel disease, diagnosed elsewhere1613
Suspected of colonic polyps76
Exclusion of graft-versus-host disease or colonic malignancies76
Assessment of failure to thrive/malabsorption43.3
Others108
Colonoscopic diagnosis, n = 121
Crohn’s disease3025
Ulcerative colitis2017
Non-specific colitis or solitary rectal ulcer syndrome2218
Infective colitis97
Colonic polyps87
Graft-versus-host disease54
Malabsorption22
Allergic colitis22
Miscellaneous diagnosis54
No diagnosis1815
Extent of colonoscopic examination, 177 colonoscopies
Terminal ileum9654
Cecum3821
Ascending colon95
Transverse colon137
Descending colon127
Sigmoid colon74
Rectum10.6
Reached cecum but no terminal ileum intubation13476
Ileal intubation not intended, 177 colonoscopies236
Not indicated18
Distorted anatomy due to previous surgery1
External stricture2
Previous colostomy in Crohn’s disease4
Large polyp at rectum2
Risk of perforation outweighs benefit of full examination due to5
Severe colitis
Poor bowel preparation4
Full colonoscopic examination intended, 177 colonoscopies2141
Ileal intubation9668
Cecum examination13495